Evaluation of Post-SARS-CoV-2 Vaccinal Response in Immunocompromised Patients
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 2
- 主要终点
- Cellular immune response
研究概览
简要总结
The aim of this study is to identify both the humoral immunological response through the detection of induced antibodies and the cellular immunological response through the detection of interferon gamma production by functional CD4+ and CD8+ cells in different groups of immunocompromised patients. For antibody detection, LIAISON® SARS-CoV-2 TrimericS assay (DiaSorin) will be used and for the evaluation of cellular immunity - QuantiFERON SARS-CoV-2 assay (QIAGEN).
详细描述
The national vaccination campaign against COVID-19 is ongoing and high risk patients are invited. Within the group of high risk patients, there are several groups of people who are for some reason immune-compromised and whose immune system is not functioning adequately. As vaccines against COVID-19 have become available in Europe as a matter of urgency, there are currently insufficient or no data available on the generation of post-vaccinal response in different groups of these immunocompromised patients. The theoretical assumption that the generation of post-vaccinal response in these patients is different from that in immunocompetent individuals is valid, as it has been shown for other vaccines, e.g. against influenza and pneumococcal disease, that the use of immunosuppressive treatments such as asrituximab, methotrexate and rituximab suppress the production of neutralising antibodies. It is known that vaccines against COVID-19 are also capable of inducing a clear functional cellular response in addition to neutralising antibody production, the modalities of which are also insufficiently or not known in these patients.
As mentioned is the goal of VACCIm to identify both the humoral immunological response through the detection of induced antibodies and the cellular immunological response through the detection of interferon gamma production by functional CD4+ and CD8+ cells in different groups of immunocompromised patients.
Within this prospective observational study, serum samples (for subsequent measurement with LIAISON® SARS-CoV-2 TrimericS assay) and lithium-heparin whole blood samples (for subsequent measurement with QuantiFERON SARS-CoV-2 assay) will be collected from control immune-competent individuals and immune-compromised patients within the following groups:
- Common variable immunodeficiency disorders and primary immunodeficiency disorders
- HIV-positive patients with CD4 < 350 cells/mm3
- Immune-compromised patients in rheumatology, neurology and nephrology
In order to assess both humoral and cellular responses as fully as possible, both measurements are performed at the following time points:
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 100 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Following patient groups receiving the Pfizer vaccine
- •HIV-positive patients with CD4 < 350 cellen/mm3
- •Common variable immunodeficiency disorders en primary immunodeficiency disorders
- •Immune-compromised patients hospitalized at rheumatology/neurology/nephrology
排除标准
- •patients receiving a different of vaccine
结局指标
主要结局
Cellular immune response
时间窗: prior or at the time of first dose of vaccine until 12 months after second dose of vaccine
DetectionINF-gamma by functional CD4+ and CD8+ cells
Humoral immune response
时间窗: prior or at the time of first dose of vaccine until 12 months after second dose of vaccine
Detection of Antibodies
次要结局
未报告次要终点